| |
125 N 18th St Ste A Mount Vernon WA 98273-3902 | |
(360) 588-5570 | |
(360) 588-5562 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 125 N 18th St Ste A, Mount Vernon, Washington |
Authorized Official Name and Position | Mary Bartolo (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 2067635277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 34703 Seattle WA 98124-1703 Ph: () - | 125 N 18th St Ste A Mount Vernon WA 98273-3902 Ph: (360) 588-5570 |
NPI Number | 1023247541 |
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Provider Enumeration Date | 07/06/2009 |
Last Update Date | 08/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023247541 | NPI | - | NPPES |
2004621 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6005372781 (Washington) | Primary |
Flexi-care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E College Way, Mount Vernon, WA 98273 Phone: 360-770-2687 Fax: 855-450-1005 | |
Valley Roots Family Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 W. Division St., Mount Vernon, WA 98273 Phone: 360-428-1884 Fax: 360-428-1889 | |
Skagit Valley Medical Center Inc, Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2500 Fax: 360-428-6485 |